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Medical Professional CCM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Ethics, Legal, and Practice Standards | 18% | - Confidentiality and privacy - Legal and regulatory requirements - Professional ethics and conduct - Advocacy and patient rights - Scope of practice and roles |
| Quality and Outcomes Evaluation and Measurements | 10% | - Data collection and reporting - Cost-benefit and effectiveness analysis - Performance improvement - Outcome measurement and analysis - Accreditation and regulatory standards |
| Reimbursement Methods | 12% | - Coding and utilization review principles - Managed care and accountable care concepts - Financial resources and negotiation - Payment and reimbursement methodologies - Insurance principles and benefit structures |
| Psychosocial Concepts and Support Systems | 20% | - Abuse and neglect recognition - Mental health and substance use considerations - Cultural competence and diversity - Family dynamics and support systems - Behavioral change theories and models |
| Healthcare Delivery Systems and Community Resources | 10% | - Interdisciplinary collaboration - Continuum of care settings - Healthcare policy and systems - Community-based services and resources |
| Care Management | 30% | - Evidence-based case management models and tools - Age-specific care application - Caseload assignment and selection criteria - Medication management - Care coordination and collaboration - Client-centered care plan development - Cost containment principles |
Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions:
1. In a construction project using the FIDIC Silver Book (edition 1999), if the Parties prefer the dispute board to be appointed on an " ad-hoc " basis instead of as a standing Dispute Avoidance and Adjudication Board (DAAB), what is it called? (1 correct answer applies)
A) DAB
B) Ad-hoc arbitration
C) Ad-hoc DAAB
D) Ad-hoc DB
2. Regarding the FIDIC Silver Book (both editions), if a part of the Works is to be paid according to quantity supplied or work done, appropriate provisions must be included in the Particular Conditions. Is this statement true or false?
A) False
B) True
3. (Under the FIDIC Red, Yellow, and Silver Books (edition 1999), which of the following entitlements of the Employer can result in a deduction of the Contract Price and Payment Certificates subject to Sub-Clause 2.5?
(2 correct answers apply))
A) Delay Damages.
B) Paying the Nominated Subcontractor directly.
C) Cost of using the Employer ' s materials.
D) Compensation for the costs of the initial review of the Contractor ' s Documents.
4. Is the Employer obliged under FIDIC Silver Book (edition 1999) to describe which Documents are to be submitted to the Employer? (1 correct response applies)
A) No, according to Sub-Clause 5.7 provisional operation and maintenance manuals are always required.
B) Yes, the Employer should define which documents it wants to receive from the Contractor as Contractor ' s Documents in the Employer ' s Requirements, as stated in Sub-Clause 5.2.
C) Yes, because otherwise the Contractor doesn ' t have to submit any Document until Completion of the Works as stated in Sub-Clause 1.8.
D) No, because the Contractor has a duty to supply the Employer with every Document, given Sub-Clause
7.4.
5. Which FIDIC Book (edition 2017) should be considered first by an Employer that is an experienced employer who knows exactly what they want from a design & engineering perspective?
A) Red Book
B) Silver Book
C) Yellow Book
D) Yellow or Silver Book
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: B | Question # 3 Answer: A,B | Question # 4 Answer: B | Question # 5 Answer: A |
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